CPT 62381 · Epidural Injection with Imaging · Illinois Medicaid (HFS)
Injection, single or series, of diagnostic or therapeutic substance/agent into epidural space of spinal canal (including imaging guidance); with fluoroscopy or CT, lumbar or sacral, each additional interspace (list separately in addition to code for primary procedure) at Illinois Medicaid (HFS).
How Illinois Medicaid (HFS) approaches CPT 62381 (Injection, single or series, of diagnostic or therapeutic substance/agent into epidural space of spinal canal (including imaging guidance); with fluoroscopy or CT, lumbar or sacral, each additional interspace (list separately in addition to code for primary procedure)) for prior-authorization review: at last review on 2025-11-01, the policy covers this code without prior authorization.
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Criteria summary
High-level themes from the Illinois Medicaid (HFS) policy of record for CPT 62381. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: Illinois Medicaid (HFS) Epidural Injection with Imaging
See the full Illinois Medicaid (HFS) criteria.
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